Provider Demographics
NPI:1174529382
Name:HIRSCH, JODI (AUD)
Entity type:Individual
Prefix:DR
First Name:JODI
Middle Name:
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FULTON AVE
Mailing Address - Street 2:STE 24
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3648
Mailing Address - Country:US
Mailing Address - Phone:516-538-0899
Mailing Address - Fax:516-538-0744
Practice Address - Street 1:1 FULTON AVE
Practice Address - Street 2:STE 24
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3648
Practice Address - Country:US
Practice Address - Phone:516-538-0899
Practice Address - Fax:516-538-0744
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000883231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4623818OtherAETNE USHEALTHCARE
NY1000017733OtherAFFINITY/GENESIS
NY2284885OtherAETNA HMO
NYAS174OtherOXFORD(MEDNET)
NYH1001180OtherINDEPNDANT HEALTH
NY19672POtherHIP PRIS NO.
NY7845039OtherAETNA PPO/POS